Dokumen 9.3.3 ep 3.xls

8/18/2019 Dokumen 9.3.3 ep 3.xls

http://slidepdf.com/reader/full/dokumen-933-ep-3xls 1/44

8/18/2019 Dokumen 9.3.3 ep 3.xls


8 "!!, &%r/i0aa 3ula 1ara: 1a&a0 1ilayai 100% 100% (98/98)x100%=100%

9 "!!, Oba0 yag 1i-%ra:ka k% &a-i% -%-uai 1%ga a/aya 100% 100% (2649/2649)x100%=100%

10 8!, Pa-i% k%/bali -a0u /iggu -%0%la: 0%ra&i 80% 77 % (7/9)x100%=77%

11 "!!, P%aggulaga ;o2u- T%r0agai $<$# 4a/ 100% 100% (5/5)x100%=100%

12 "!!, Pa-i% yag 1iru4uk k% Poli 3i=i /%1a&a0ka ko-ul0a-i 1i%0 -%-uai 1iago-a 100% 100% (55/55)x100%=100%

13 100% 100% (4/4)x100%=100%

14 8!, P%yulu:a k%-%:a0a 1i &u-k%-/a- 0%rlak-aa -%-uai 4a1>al 80% 87,5 % (7/8)x100%=87,5%

15 "!!, Pa-i% IMS Mau 1ilakuka &%/%rik-aa IMS 100%

16 8! , Pa-i% &oli PKPR 1a0ag -%-uai 4a1>al buka &oli 80% 83,33% (5/6)x100%=83,33 %

17 "!!, Kar2i- r%0ribu-i 0%r-%1ia u0uk 1ib%rika k%&a1a &a-i% 100% 100% (1361/1361)x100%=100%

18 100% 100% (14/14)x100%=100 %

"!!, Pa-i% yag b%rku4ug k% &oli P-ikologi /%lakuka ku4uga ulag &a1a :ariyag 1i0%0uka

"!! ,Ibu /%yu-ui baru yag b%rku4ug k% ruag lak0a-i /%1a&a0 &%yulu:a 2ara/%yu-ui yag b%ar

8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


ANALISA RTL KET

P%0uga- /%2ari o i1%k- &a1a &rogra/ -i/&u-

M%lakuka %1uka-i &a2-a &%2abu0a

M%lakuka &%yu0ika -%-uai &ro-%1ur yag a1a

M%lakuka &%yu0ika -%-uai &ro-%1ur yag a1a

M%y%1iaka oba0 &%uru &aa- 1i &oli MTBS

M%lakuka KPSP -%-uai &ro-%1ur yag a1a

Melanjutkan monitorin

in!ikator mutu klini" !anke"elamatan #a"ien "e"uai

!enan #ro"e!ur

M%/b%rika 0%ra&y oba0 :i&%r0%-i lag-ug 1i &oliu/u/

Melanjutkan monitorinin!ikator mutu klini" !an

ke"elamatan #a"ien "e"uai!enan #ro"e!ur


ke"elamatan #a"ien "e"uai

!enan #ro"e!urMelanjutkan monitorinin!ikator mutu klini" !an






!enan #ro"e!ur



8/18/2019 Dokumen 9.3.3 ep 3.xls


P%y%ra:a oba0 k%&a1a &a-i% -%-uai &ro-%1ur

M%/b%rika %1uka-i &a1a &a-i% :ari ko0rol

M%/b%rika %1uka-i &a1a &a-i% :ari ko0rol

P%0uga- -%lalu /%g%2%k -0ok kar2i-

Meneta$ui,

e#ala &u"ke"ma" 'amakrejo

Saraa 1a &ra-araa -%lalu 0%r-%1ia 1ilabora0oriu/





Menealua"i $a"il kunjunanila #erlu men$uuni #a"ien

ter"eut

Sura0 KDRS -%2%&a0ya /a-uk k% &%/%gag&rogra/



M%/b%rika %1uka-i &a1a &a-i% -%-uai 1%ga&%yaki0ya





P%0uga- /%/b%ri ior/a-i 0%0ag 4a/ buka &oliPKPR



!enan #ro"e!ur

Ma"i$ elum a!a#oli *M+

P%0uga- /%/b%ri ior/a-i 0%0ag 4a/ buka &oliPKPR



!enan #ro"e!ur



P%0uga- -%lalu /%/b%ri %1uka-i &a1a &a-i% 2ara/%yu-ui yag b%ar



8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


PEMERINTAH KOTA SURABAYA

DINAS KESEHATAN

UPTD PUSKESMAS TAMBAKREJO

Jl. Ngaglik No. 87 Surabaya !"#$T%l&. '!(") (7"**(+

BUKTI ANALISA PENYUSUNAN STRATEGI DAN RENCANA PENINGKATAN MUTU LAYANAN KLINIS DAN KESELAMATAN PASIEN

No. INDIKATOR MUTU KLINIS TARGET DATA PENCAPAIANBUKTI ANALISIS

(PENCAPAIAN/JML TOTAL PASIEN)

1 8!, Pa-i% /%/iliki kar0u B%roba0 k%luarga 0i1ak b%ro/or ga1a 80% 100% (2896/2896)x100%=100%

2 "!!, Pa-i% 1%ga Hi&%r0%-i E/%rg%2y T%r0agai 100% 100% (4/4)x100%=100%

3 +!, P%2abu0a 3igi 0i1ak 0%r4a1i Dry So2k%0 90% 100% (33/33)x100%=100%

4 "!! , Bayi 1%ga i/ui-a-i B53 0i1ak 0%r4a1i B536i0i- 100% 100% (7/7)x100%=100%

5 "!!, Pa-i% Pa-2a P%/a-aga a0au P%2abu0a I/&la0 0i1ak /%gala/i i%k-i100% 100% (3/3)x100%=100%

6 100% 100% (19/19)x100%=100%

7 "!!, Bali0a baru b%rku4ug 1i &oli DDTK 1lakuka &%/%rik-aa KPSP 100% 100% (10/10)x100%=100 %

"!! , Pa-i% 1%ga %bri- (89* 1ra4a1 2%l-iu- /%1a&a0ka 0%ra&y &ara-%0a/ol 1i&oli

8/18/2019 Dokumen 9.3.3 ep 3.xls




10 8!, Pa-i% k%/bali -a0u /iggu -%0%la: 0%ra&i 80% 82% (9/11)x100%=82 %



13 100% 100% (3/3)x100%=100%

14 8!, P%yulu:a k%-%:a0a 1i &u-k%-/a- 0%rlak-aa -%-uai 4a1>al 80% 857 % (6/7)x100%=85,7%


16 8! , Pa-i% &oli PKPR 1a0ag -%-uai 4a1>al buka &oli 80% 100% (8/8)x100%=100%


18 100% 100% (13/13)x100%=100 %


"!! , Ibu /%yu-ui baru yag b%rku4ug k% ruag lak0a-i /%1a&a0 &%yulu:a 2ara/%yu-ui yag b%ar

8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


ANALISA RTL KET


P%0uga- /%2ari o i1%k- &a1a &rogra/-i/&u-



M%/b%rika 0%ra&y oba0 :i&%r0%-ilag-ug 1i &oli u/u/




in!ikator mutu klini" !anke"elamatan #a"ien "e"uai!enan #ro"e!ur

M%lakuka &%yu0ika -%-uai &ro-%1uryag a1a






M%y%1iaka oba0 &%uru &aa- 1i &oliMTBS



M%lakuka KPSP -%-uai &ro-%1ur yag a1a Melanjutkan monitorinin!ikator mutu klini" !an


8/18/2019 Dokumen 9.3.3 ep 3.xls






P%y%ra:a oba0 k%&a1a &a-iu% -%-uai&ro-%1ur Melanjutkan monitorinin!ikator mutu klini" !an


M%/b%rika %1uka-i &a1a &a-i% :ariko0rol






Sura0 KDRS -%2%&a0ya /a-uk k%&%/%gag &rogra/



M%/b%rika %1uka-i &a1a &a-i% -%-uai1%ga &%yaki0ya



M%giga0ka k%&a1a &%0uga- &%yulu:u0uk /%/oi0orig 4a1>al




P%0uga- /%/b%ri ior/a-i 0%0ag 4a/

buka &oli PKPR



!enan #ro"e!ur



P%0uga- -%lalu /%/b%ri %1uka-i &a1a&a-i% 2ara /%yu-ui yag b%ar



!enan #ro"e!ur

8/18/2019 Dokumen 9.3.3 ep 3.xls


Meneta$ui,


!r-.-. .*- +M-

.*& 19780622 200604 1 019

8/18/2019 Dokumen 9.3.3 ep 3.xls



DINAS KESEHATAN


Jl. Ngaglik No. 87 Surabaya !"#$

T%l&. '!(") (7"**(+


No. INDIKATOR MUTU KLINIS TARGET DATA PENCAPAIAN

BUKTI ANALISIS





M%lakuka


5 "!!, Pa-i% Pa-2a P%/a-aga a0au P%2abu0a I/&la0 0i1ak /%gala/i i%k-i 100%

6 100% 100% (23/23)x100%=100%


P%0uga- /%

M%/b%la

M%lakuka

M%lakuka


M%y%1iak

M%lakuka K

8/18/2019 Dokumen 9.3.3 ep 3.xls




10 8!, Pa-i% k%/bali -a0u /iggu -%0%la: 0%ra&i 80% 77 % (7/9)x100%=77 %



13 100% 100% (2/2)x100%=100%





18 100% 100% (28/28)x100%=100 %

S

P

"!!, Pa-i% yag b%rku4ug k% &oli P-ikologi /%lakuka ku4uga ulag &a1a :ari

yag 1i0%0uka

M

M

P


8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


RTL KET









'i!ak a!a #x#enautan atau

#ema"anan im#lant



!enan #ro"e!ur



8/18/2019 Dokumen 9.3.3 ep 3.xls
















Ma"i$ elum a!a #oli*M+







8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls



DINAS KESEHATAN









M%lakuka %1u


5 "!!, Pa-i% Pa-2a P%/a-aga a0au P%2abu0a I/&la0 0i1ak /%gala/i i%k-i 100% 100% (3/3)x100%=100%

6 100% 100% (9/9)x100%=100%


P%0uga- /%2ar

M%/b%rikalag-u

M%lakuka &%

M%lakuka &%


M%y%1iaka ob

M%lakuka KPSP

8/18/2019 Dokumen 9.3.3 ep 3.xls




10 8!, Pa-i% k%/bali -a0u /iggu -%0%la: 0%ra&i 80% 50% (5/10)x100%=50%



13 100% 100% (5/5)x100%=100%





P%0u

18 100% 100% (18/18)x100%=100 %

Sara

P%y%

M%/

M%/

Sur


M%/b

M%gi

P%0ug

"!!, Ibu /%yu-ui baru yag b%rku4ug k% ruag lak0a-i /%1a&a0 &%yulu:a 2ara/%yu-ui yag b%ar

P%0ug

&a-

8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


RTL KET















8/18/2019 Dokumen 9.3.3 ep 3.xls






!enan #ro"e!ur





!enan #ro"e!ur














8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls



DINAS KESEHATAN




No. INDIKATOR MUTU KLINIS TARGET DATA PENCAPAIAN

BUKTI ANALISIS


1 8!, Pa-i% /%/iliki kar0u B%roba0 k%luarga 0i1ak b%ro/or ga1a 80% 99,9 % (2666/2667)x100%=99,9 %



M%lakuk



6 100% 100% (5/5)x100%=100%


M%lakuka

8 "!!, &%r/i0aa 3ula 1ara: 1a&a0 1ilayai 100% 100% (100/100)x100%=100 %

P%0uga- /

M%/b

M%lakuka

M%lakuka


M%y%1ia

Saraa 1

8/18/2019 Dokumen 9.3.3 ep 3.xls


9 "!!, Oba0 yag 1i-%ra:ka k% &a-i% -%-uai 1%ga a/aya 100% 100% (1546/1546)x100%=100 %




13 100% 100% (3/3)x100%=100%


15 "!!, Pa-i% IMS Mau 1ilakuka &%/%rik-aa IMS 100% 100% (2/2)x100%=100%

16 8! , Pa-i% &oli PKPR 1a0ag -%-uai 4a1>al buka &oli 80% 85,71% (6/7)x100%=85,71%


18 100% 100% (42/42)x100%=100 %



8/18/2019 Dokumen 9.3.3 ep 3.xls


RTL KET







!enan #ro"e!ur







!enan #ro"e!ur





8/18/2019 Dokumen 9.3.3 ep 3.xls






!enan #ro"e!ur





!enan #ro"e!ur





Melanjutkan monitorinin!ikator mutu klini" !anke"elamatan #a"ien "e"uai

!enan #ro"e!ur







8/18/2019 Dokumen 9.3.3 ep 3.xls



DINAS KESEHATAN








3 +!, P%2abu0a 3igi 0i1ak 0%r4a1i Dry So2k%0 90% 85 % (17/20)x100%=85%

M%lakuka %1



6 100% 100% (3/3)x100%=100%


P%0uga- /%2a

M%/b%rikalag-u

M%lakuka &%

M%lakuka &%


M%y%1iaka o

M%lakuka KPSP

8/18/2019 Dokumen 9.3.3 ep 3.xls




10 8!, Pa-i% k%/bali -a0u /iggu -%0%la: 0%ra&i 80% 83 % (5/6)x100%=83%



13 100% 100% (3/3)x100%=100%





P%0u

18 100% 100% (21/21)x100%=100 %

Sara

P%y%

M%/

M%/

Su


M%/b

M%g

P%0ug


P%0u

&a

8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


RTL KET



!enan #ro"e!ur



ei$ menekankan #a"a#enautan #a!a #a"ien aar

ti!ak merokok !an "erin

kumur2Melanjutkan monitorinin!ikator mutu klini" !an








8/18/2019 Dokumen 9.3.3 ep 3.xls
















!enan #ro"e!ur





!enan #ro"e!ur





8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls



DINAS KESEHATAN


Jl. Ngaglik No. 87 Surabaya !"#$

T%l&. '!(") (7"**(+









6 100% 100% (5/5)x100%=100%



8/18/2019 Dokumen 9.3.3 ep 3.xls





11 "!!, P%aggulaga ;o2u- T%r0agai $<$# 4a/100%


13 100% 100% (4/4)x100%=100%

14 8!, P%yulu:a k%-%:a0a 1i &u-k%-/a- 0%rlak-aa -%-uai 4a1>al 80% 88,8% (8/9)x100%=88,8%




18 100% 100% (12/12)x100%=100 %


"!! ,Ibu /%yu-ui baru yag b%rku4ug k% ruag lak0a-i /%1a&a0 &%yulu:a 2ara/%yu-ui yag b%ar

8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


ANALISA RTL KET


P%0uga- /%2ari o i1%k- &a1a &rogra/-i/&u- Melanjutkan monitorin


!enan #ro"e!ur

M%/b%rika 0%ra&y oba0 :i&%r0%-ilag-ug 1i &oli u/u/











M%y%1iaka oba0 &%uru &aa- 1i &oliMTBS Melanjutkan monitorin


!enan #ro"e!ur

M%lakuka KPSP -%-uai &ro-%1ur yag a1a Melanjutkan monitorinin!ikator mutu klini" !an


Saraa 1a &ra-araa -%lalu 0%r-%1ia 1i Melanjutkan monitorin

8/18/2019 Dokumen 9.3.3 ep 3.xls






P%y%ra:a oba0 k%&a1a &a-iu% -%-uai

&ro-%1ur



!enan #ro"e!ur




M%/b%rika %1uka-i &a1a &a-i% :ariko0rol 'i!ak a!a

#en!erita

Sura0 KDRS -%2%&a0ya /a-uk k%&%/%gag &rogra/



M%/b%rika %1uka-i &a1a &a-i% -%-uai1%ga &%yaki0ya



M%giga0ka k%&a1a &%0uga- &%yulu:u0uk /%/oi0orig 4a1>al Melanjutkan monitorinin!ikator mutu klini" !an




P%0uga- /%/b%ri ior/a-i 0%0ag 4a/buka &oli PKPR





P%0uga- -%lalu /%/b%ri %1uka-i &a1a&a-i% 2ara /%yu-ui yag b%ar



8/18/2019 Dokumen 9.3.3 ep 3.xls


Meneta$ui,


!r-.-. .*- +M-

.*& 19780622 200604 1 019


8/18/2019 Dokumen 9.3.3 ep 3.xls



DINAS KESEHATAN





AN







6 100% 100% (3/3)x100%=100%



a"il monitoriklini" !an ke"menunjukka




a"il monitoriklini" !an ke"

menunjukka





8/18/2019 Dokumen 9.3.3 ep 3.xls


8/18/2019 Dokumen 9.3.3 ep 3.xls


RTL KET


















8/18/2019 Dokumen 9.3.3 ep 3.xls


j in!ikator mutu klini" !an




!enan #ro"e!ur











!enan #ro"e!ur





!enan #ro"e!ur



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Dokumen 9.3.3 ep 3.xls